NOTE: With the exception of eLearning courses, do not submit Open University
or Graduate Continuous Enrollment registrations via this form.
Open University registrations must be entered on the downloadable
form and brought to the first class meeting.
The instructor's signature along with departmental approval is required
prior to Extended Education processing the registration.
Return the signed form with payment as soon as possible. Refer to the current
semester's calendar to avoid late fees.

If
you do not wish to use this on-line registration form, or if you are having
trouble with it, please use the downloadable
form.
Fill out the form and mail it to above address. (Adobe Reader required)

Your date of birth is requested so that Humboldt State University may identify records that are unique to you.

Enter your date of birth:*Month:Day:Year (4 DIGIT):

If any of your courses include academic credit, you MUST provide the following:

HSU ID NUMBER or Social Security Number (000 - 00 - 0000):*
Enter the first 3 digits
-
Enter the next 2 digits
-
Enter the last 4 digits

Race/Ethnicity Information

[Your voluntary response is requested to comply with Federal and State legislation.]
If the California State University system is asked to report only ONE summary race/ethnicity
description for you, choose the ONE category below that you want us to report:

American Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or Other Pacific IslanderWhite Two or more races/ethnicitiesDecline to state

Course Information

Enter the course information for each course you want to take.

Units

Subject Area & Catalog Number

Class Number:
5-digit code

Instructor's
Last Name

Course
Title/Topic

Fees*Enter numerals only

$

$

$

$

$

Total
Fees for Classes

$

I.D.
Fee

$

Materials
Fee

$

Late
Fee

$

TOTAL FEES *

$

You must enter the image characters below before you can submit this form.

If you cannot read the characters shown, click on the refresh symbol below until you see an image that you can read.

Alternately, you can click the symbol to hear an audio of the characters. Type what you hear in the box.

If you are still having difficulties, please call 707-826-3731 to register over the phone. (Monday-Friday, 8 a.m.-5 p.m.)

Please
review the above information for accuracy before submitting this registration form.